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NPI Code Detail

MEDICARE: FRANCIS GERARD SHEA, JR. M.A.

MEDICARE: FRANCIS GERARD SHEA, JR. M.A.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1477758027
Entity Type Code : Individual
Provider Name (Legal Business Name) : FRANCIS GERARD SHEA, JR. M.A.
Provider Business Mailing Address
First Line : 72 BARRETT ST
Second Line : #220
City : NORTHAMPTON
State : MA
Zip : 01060-1737
Country : US
Telephone Number : 413-587-0448
Fax Number :
Provider Business Practice Location Address
First Line : 30 SOUTHWICK ST
Second Line :
City : FEEDING HILLS
State : MA
Zip : 01030-2024
Country : US
Telephone Number : 413-786-6410
Fax Number : 413-789-9623
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2007
Last Update Date : 07/08/2007

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